Challenges for work in healthcare: comparative study on University Hospitals in Algeria, Brazil and France

Ciência & saúde coletiva
Magda Duarte Dos Anjos SchererEdna Maria Goulart Joazeiro

Abstract

This study compares the challenges for work in emergency services of publicuniversity hospitals in Algeria, Brazil and France. The description and analysis are organized in three topics: context and trajectory of the health systems; hospitals and emergency services; and the challenges that are faced. The research carried out interviews, surveys, observation and "groupes de rencontre du travail" / GRT. The data analysis was done using participatory appraisal techniques associated to triangulation of sources and data. The main challenges found were: workforce deficit; lack of hospitals beds in inpatient units; deficit of infrastructure and materials; excess of "chronophagic activities"; generational transition; and violence by patients and families.Despite their particularities, the countries coincide regarding the challenges. Measures to rationalize and restrain spending have a greater impact on Algeria and Brazil due to the low level of public funding, but they also occur in France. The hospital management cannot be dissociated from healthcare system planningconsidering the increasing pressures of the demographic and epidemiological transition. In medium term, measures that may mitigate "chronophagic activities", materials defi...Continue Reading

References

Jun 29, 2011·Ciência & saúde coletiva·Carlos Augusto Grabois GadelhaTatiana Wargas de Faria Baptista
May 10, 2013·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·James BuchanGilles Dussault
Feb 4, 2014·Health Communication·Jay Baglia, Elissa Foster
Jan 22, 2015·História, ciências, saúde--Manguinhos·Kizi Mendonça de Araújo, Jacqueline Leta

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Citations

Apr 18, 2019·Cadernos de saúde pública·Ada Ávila AssunçãoJuliana Mara Andrade
Dec 10, 2020·Ciência & saúde coletiva·Erika Aparecida Silveira, Marianne Oliveira Falco

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